MICHAEL MATTHEWS

GRANGEVILLE, ID
NPI1609255116
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M14145)
Enumeration Date2015-05-29
Last Update Date2020-09-30
Business Address
MICHAEL MATTHEWS
607 W MAIN ST
GRANGEVILLE, ID 83530-1345
Phone number: 208-983-1700
Mailing Address
MICHAEL MATTHEWS
607 W MAIN ST
GRANGEVILLE, ID 83530-1345
Phone number: 208-983-1700
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